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POUDRE VALLEY MEDICAL GROUP LLC NPI 1811528086


NPI Information

NPI: 1811528086
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2153473

Address:
9695 S YOSEMITE ST STE 224
LONE TREE, CO
ZIP 80124
Phone: (303) 265-3970
Get Directions

POUDRE VALLEY MEDICAL GROUP, LLC is a family medicine in Lone Tree, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1811528086. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

9695 S YOSEMITE ST STE 224
LONE TREE, CO
ZIP 80124-890
Phone: (303) 265-3970
Fax: (303) 265-3971

The provider's authorized official is Jana Conroy .
The authorized official title is Credentialing Manager and has the following contact phone number (970) 624-4443.

The CLIA number assigned to this NPI record is 06D2153473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2020 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.